ELAINE R ROSS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020001186

License Status

NOT RENEWED

Business

First Name

ELAINE R

Last Name

ROSS

Business Name

ELAINE R ROSS

Original Issue Date

07/14/1969

Effective Date

07/14/1969

City

NORMAL

State

Zip

61761

County

MCLEAN

Ever Disciplined

LastModifiedDate

10/12/2005